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General NPI Number Information
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NPI Number | 1982203659
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY AND HYPERTENSION SPECIALISTS PA
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 4102 WOODLAWN AVE STE 220
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City | PASADENA
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State | TX
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Zip | 77504-1949
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Country | US
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Telephone | 713-360-6334
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Fax | 713-360-6341
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Provider Business Mailing Address
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Address Line | 1642 W BAKER RD STE B
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City | BAYTOWN
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State | TX
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Zip | 77521-2406
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Country | US
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Telephone | 281-422-3000
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Fax | 281-422-0937
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Authorized Official
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Title or Position | MD
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Name | TAHIR HAFEEZ
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Credential |
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Telephone | 713-360-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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